The highway connects mostly rural areas of Pike and Martin counties with South Williamson and Warfield.

Nearly the entire highway is located near the West Virginia state line.

The highway then crosses over Buzzard Roost Hollow and curves to the southwest, where it enters Aflex.

It curves to the northwest and enters Goody, where it crosses over Pond Creek and intersects U.S. Route 119 (US 119).

The two highways travel concurrently to the northwest and enter South Williamson.

The highway curves to the west-southwest and passes Tug Valley ARH Regional Medical Center.

It then intersects the eastern terminus of KY 612 (Turkey Creek Road).

The highway curves to the north-northwest and intersects Pennigton Drive, which leads to US 52 and US 119.

The highway curves to the west-northwest and intersects the northern terminus of KY 468.

The highway passes Chapman Cemetery and then makes a northeastern curve to the west-southwest.

The highway passes Harmon Cemetery and then has a slightly southward curve.

It passes Buffalo Horn Cemetery and meets its northern terminus, an intersection with KY 3.